Summary
Work History
Education
Skills
Timeline
Generic

Jeanne Cathell

Henrico,VA

Summary

Results-driven HEDIS Nurse Abstractor with expertise in clinical data analysis. Proven ability to ensure compliance with NCQA and CMS standards through meticulous medical record review and strategic outreach initiatives.

Work History

HEDIS Nurse Abstractor/ Researcher

Temporary Agencies
Richmond, VA
2015 - 2026
  • Analyzed medical records through HEDIS reviews to verify adherence to NCQA quality standards and enhance documentation accuracy.
  • Researched, extracted and validated clinical data from Electronic Health Record(s)(EHR) to ensure compliance with HEDIS and regulatory reporting standards.
  • Researched and validated clinical data using multiple databases.
  • Executed strategic outreach initiatives to select providers to secure essential medical records from multiple sources.
  • Actively participated in team meetings, sharing insights on current projects while seeking feedback from peers to continually refine skills as a HEDIS nurse professional.
  • Reviewed and validated abstracted data for compliance with regulatory standards and internal policies.
  • Ensured compliance with CMS, NCQA, and HIPAA and organizational quality standards.

Case Manager 11

Anthem Healthcare
Richmond, VA
2012 - 2014
  • Assessed client needs through comprehensive evaluations to facilitate appropriate services and interventions.
  • Monitored progress of clients, providing ongoing support and adjusting care plans as needed for effectiveness.
  • Collaborated with multidisciplinary teams to enhance service delivery and improve patient outcomes.
  • Monitored progress of clients, provided ongoing support, and adjusted care plans for effectiveness.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.

Medical Information Specialists

Reckitt Benckiser Inc.
Chesterfield, VA
2008 - 2012
  • Provided accurate medical information to healthcare professionals and consumers.
  • Developed and maintained comprehensive knowledge of product portfolio and therapeutic areas.
  • Managed inquiries through multiple communication channels, ensuring timely responses.
  • Collaborated with cross-functional teams to enhance information dissemination processes.
  • Developed comprehensive medical information materials for distribution to external stakeholders, such as healthcare professionals and patients.
  • Collaborated with pharmacovigilance teams to ensure seamless reporting of adverse events related to company products.

Clinical Nurse Consultant 24 Hour Nurse Line

Anthem Healthcare
Richmond, VA
2007 - 2009
  • Conducted telephonic patient assessments, utilizing standard protocols to triage symptoms to ensure care levels for callers.
  • Provide health education and self-care instructions to callers across diverse demographics.
  • Documented all patient instructions , clinical advice and follow-up plans accurately in the agency database.

Education

Master of Science - Addiction Studies

Virginia Commonwealth University
Richmond, VA

Bachelor of Science - Nursing

Old Dominion University
Norfolk, VA

Associate of Applied Science - Nursing

Delaware County Community College
Media, PA

Skills

  • HEDIS compliance
  • Clinical documentation
  • Clinical training
  • Data validation
  • Electronic health records
  • Clinical coordination
  • Quality improvement
  • HEDIS adherence
  • Care coordination
  • Problem-solving
  • Organizational skills
  • Clinical expertise
  • Training
  • Project management
  • Clinical process knowledge

Timeline

HEDIS Nurse Abstractor/ Researcher

Temporary Agencies
2015 - 2026

Case Manager 11

Anthem Healthcare
2012 - 2014

Medical Information Specialists

Reckitt Benckiser Inc.
2008 - 2012

Clinical Nurse Consultant 24 Hour Nurse Line

Anthem Healthcare
2007 - 2009

Master of Science - Addiction Studies

Virginia Commonwealth University

Bachelor of Science - Nursing

Old Dominion University

Associate of Applied Science - Nursing

Delaware County Community College

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